Level 3 Lower GI Procedures
In 2024, Medicare and patients paid an average of $2,703 per procedure at 923 hospitals. Half of hospitals averaged between $2,436 and $2,862.
Also known as: Colonoscopy, lower endoscopy
National figures, 2024
- Average payment per case
- $2,703
- Typical range (middle half of hospitals)
- $2,436–$2,862
- Medicare’s share
- $2,176
- Average billed charge
- $18,904
- Hospitals reporting
- 923
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
914 hospitals reported at least 11 Medicare procedures for this in 2024; showing 151–200. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Boone Hospital Center | 27 | $2,389 | 12% below the national average | $1,908 | $11,035 |
| Summa Health System | 24 | $2,389 | 12% below the national average | $1,903 | $17,019 |
| Aultman Hospital | 13 | $2,390 | 12% below the national average | $1,882 | $8,516 |
| St Mary's Hospital | 12 | $2,390 | 12% below the national average | $1,870 | $21,317 |
| Penn State Health St. Joseph | 12 | $2,391 | 12% below the national average | $1,854 | $26,903 |
| Erlanger Medical Center | 69 | $2,391 | 12% below the national average | $1,937 | $13,155 |
| Baylor Scott & White Medical Center - Round Rock | 27 | $2,392 | 11% below the national average | $1,959 | $11,166 |
| Baylor Scott And White Medical Center McKinney | 15 | $2,393 | 11% below the national average | $1,879 | $14,926 |
| Hill Country Memorial Hospital | 45 | $2,393 | 11% below the national average | $1,980 | $19,037 |
| Mymichigan Medical Center Midland | 24 | $2,395 | 11% below the national average | $1,859 | $10,206 |
| Mercy Regional Medical Center | 15 | $2,396 | 11% below the national average | $1,958 | $11,512 |
| Marymount Hospital | 15 | $2,396 | 11% below the national average | $1,934 | $18,020 |
| University Hospitals Ahuja Medical Center | 29 | $2,397 | 11% below the national average | $1,926 | $10,994 |
| UH St John Medical Center | 24 | $2,397 | 11% below the national average | $1,920 | $12,226 |
| Cleveland Clinic Avon Hospital | 17 | $2,397 | 11% below the national average | $1,916 | $10,162 |
| UH Cleveland Medical Center | 22 | $2,397 | 11% below the national average | $1,915 | $11,887 |
| Hillcrest Hospital | 26 | $2,397 | 11% below the national average | $1,897 | $12,576 |
| Chesapeake General Hospital | 43 | $2,398 | 11% below the national average | $1,898 | $13,158 |
| UCHealth Greeley Hospital | 15 | $2,398 | 11% below the national average | $1,871 | $17,479 |
| Riverside Regional Medical Center | 100 | $2,398 | 11% below the national average | $1,921 | $13,193 |
| HCA Florida JFK Hospital | 14 | $2,399 | 11% below the national average | $1,868 | $99,045 |
| Missouri Baptist Medical Center | 36 | $2,400 | 11% below the national average | $1,917 | $11,764 |
| Upper Valley Medical Center | 34 | $2,400 | 11% below the national average | $1,983 | $12,260 |
| MercyOne Des Moines Medical Center | 17 | $2,402 | 11% below the national average | $1,914 | $16,992 |
| Willis Knighton Medical Center | 63 | $2,402 | 11% below the national average | $1,922 | $20,421 |
| St David's Medical Center | 29 | $2,403 | 11% below the national average | $1,903 | $29,459 |
| Trinity - Bettendorf | 12 | $2,406 | 11% below the national average | $1,917 | $14,189 |
| UPMC Presbyterian Shadyside | 17 | $2,406 | 11% below the national average | $1,911 | $28,722 |
| Baptist Health Medical Center-Little Rock | 36 | $2,406 | 11% below the national average | $1,934 | $16,860 |
| University Of Arkansas Medical Sciences | 72 | $2,406 | 11% below the national average | $1,931 | $7,377 |
| Conway Regional Medical Center, Inc | 11 | $2,407 | 11% below the national average | $1,918 | $11,136 |
| Lake Charles Memorial Hospital | 54 | $2,407 | 11% below the national average | $1,990 | $11,378 |
| St Lukes Regional Medical Center | 11 | $2,409 | 11% below the national average | $1,919 | $11,011 |
| Sentara Martha Jefferson Hospital | 39 | $2,410 | 11% below the national average | $1,926 | $13,286 |
| Bethesda North | 39 | $2,410 | 11% below the national average | $1,933 | $14,189 |
| Ecu Health Medical Center | 60 | $2,411 | 11% below the national average | $1,905 | $8,382 |
| University Of Cincinnati Medical Center, LLC | 49 | $2,411 | 11% below the national average | $1,944 | $16,905 |
| Ascension Se Wisconsin Hospital | 14 | $2,412 | 11% below the national average | $1,929 | $14,919 |
| Norton Hospitals, Inc | 29 | $2,412 | 11% below the national average | $1,930 | $14,001 |
| Lexington Medical Center | 38 | $2,413 | 11% below the national average | $1,922 | $23,614 |
| UT Health East Texas Tyler Regional Hospital | 78 | $2,413 | 11% below the national average | $1,988 | $32,789 |
| Baptist Health Richmond | 13 | $2,415 | 11% below the national average | $1,999 | $27,944 |
| Lewisgale Medical Center | 135 | $2,416 | 11% below the national average | $2,003 | $60,459 |
| Bon Secours Maryview Medical Center | 13 | $2,416 | 11% below the national average | $1,991 | $15,345 |
| Ephraim McDowell Regional Medical Center | 17 | $2,416 | 11% below the national average | $1,940 | $9,387 |
| Baylor University Medical Center | 30 | $2,416 | 11% below the national average | $1,929 | $18,236 |
| Delray Medical Center | 32 | $2,417 | 11% below the national average | $1,898 | $57,000 |
| CJW Medical Center | 66 | $2,417 | 11% below the national average | $1,947 | $69,259 |
| Christus Mother Frances Hospital | 105 | $2,417 | 11% below the national average | $2,007 | $27,404 |
| Carilion New River Valley Medical Center | 13 | $2,417 | 11% below the national average | $1,926 | $21,393 |
National trend
Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $2,352 | $16K |
| 2021 | $2,472 | $16K |
| 2022 | $2,487 | $17K |
| 2023 | $2,568 | $18K |
| 2024 | $2,703 | $19K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 50 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 1 | 78 | $1,458 | $1,458–$1,458 |
| Alabama | 10 | 295 | $2,259 | $2,181–$2,330 |
| Mississippi | 12 | 222 | $2,262 | $2,239–$2,350 |
| Louisiana | 13 | 341 | $2,316 | $2,219–$2,378 |
| Tennessee | 17 | 594 | $2,318 | $2,279–$2,325 |
| South Carolina | 19 | 974 | $2,346 | $2,332–$2,423 |
| West Virginia | 8 | 332 | $2,348 | $2,314–$2,379 |
| Ohio | 38 | 1,142 | $2,361 | $2,389–$2,451 |
| Oklahoma | 11 | 418 | $2,364 | $2,335–$2,419 |
| Kentucky | 15 | 481 | $2,374 | $2,365–$2,419 |
| Utah | 5 | 127 | $2,391 | $2,515–$2,515 |
| Kansas | 12 | 353 | $2,402 | $2,320–$2,451 |
| Iowa | 9 | 383 | $2,410 | $2,406–$2,421 |
| Nebraska | 5 | 210 | $2,441 | $2,419–$2,530 |
| New Mexico | 3 | 124 | $2,441 | $2,392–$2,545 |
| Georgia | 28 | 817 | $2,442 | $2,345–$2,560 |
| Missouri | 21 | 723 | $2,443 | $2,389–$2,497 |
| Arkansas | 9 | 286 | $2,455 | $2,406–$2,479 |
| Michigan | 31 | 974 | $2,461 | $2,446–$2,530 |
| Texas | 56 | 1,679 | $2,481 | $2,417–$2,539 |
| Wisconsin | 17 | 533 | $2,488 | $2,521–$2,621 |
| North Carolina | 28 | 979 | $2,490 | $2,435–$2,528 |
| Virginia | 32 | 1,368 | $2,501 | $2,417–$2,619 |
| Florida | 66 | 2,357 | $2,502 | $2,468–$2,543 |
| Idaho | 4 | 102 | $2,530 | $2,518–$2,568 |
| Indiana | 25 | 727 | $2,536 | $2,467–$2,558 |
| Maine | 6 | 195 | $2,586 | $2,482–$2,627 |
| Pennsylvania | 49 | 1,702 | $2,595 | $2,507–$2,709 |
| South Dakota | 5 | 234 | $2,629 | $2,632–$2,632 |
| North Dakota | 4 | 302 | $2,631 | $2,598–$2,646 |
| Illinois | 42 | 1,446 | $2,639 | $2,595–$2,666 |
| Colorado | 17 | 358 | $2,651 | $2,581–$2,673 |
| Montana | 5 | 117 | $2,662 | $2,631–$2,632 |
| Minnesota | 13 | 675 | $2,709 | $2,655–$2,684 |
| Arizona | 18 | 521 | $2,726 | $2,704–$2,738 |
| New Hampshire | 7 | 194 | $2,752 | $2,630–$2,767 |
| District of Columbia | 4 | 187 | $2,782 | $2,793–$2,872 |
| Delaware | 5 | 193 | $2,796 | $2,816–$2,817 |
| Wyoming | 1 | 12 | $2,819 | $2,819–$2,819 |
| Rhode Island | 2 | 49 | $2,820 | $2,821–$2,839 |
| Oregon | 7 | 196 | $2,857 | $2,809–$2,914 |
| Washington | 24 | 758 | $2,859 | $2,815–$2,893 |
| Alaska | 1 | 13 | $2,898 | $2,898–$2,898 |
| Massachusetts | 34 | 1,609 | $2,977 | $2,955–$3,015 |
| New Jersey | 29 | 1,236 | $2,980 | $2,939–$3,010 |
| Nevada | 6 | 97 | $2,984 | $3,007–$3,007 |
| New York | 51 | 2,279 | $3,067 | $2,945–$3,171 |
| Connecticut | 15 | 376 | $3,097 | $3,035–$3,159 |
| Hawaii | 1 | 28 | $3,137 | $3,137–$3,137 |
| California | 82 | 3,349 | $3,550 | $3,451–$3,731 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.